FODMAP on the Road: McDonalds

Nederlands: MCDonalds Winterswijk

Nederlands: MCDonalds Winterswijk (Photo credit: Wikipedia)

I went to McDonalds, where I frequently eat, the day after I decided to start the FODMAP diet and stared at the menu. I asked myself. What can I eat here? I got something and as I was decided to wean myself rather than cold-turkey off the Coca-Colas I got one of those. I regretted it cause I was gassy right after I left. So I decided to try to make a list……

Things I can eat at McDonalds

  • Beef burger patty
  • Chicken McNuggets – milage may vary because the breading contains gluten, but I seem not to react to it
  • Premium Bacon Ranch Salad with Grilled Chicken – crispy chicken is also an option if the breading does not cause problems for you
  • Premium Southwest Salad with Grilled Chicken – crispy again is an option if you can tolerate it
  • Fruit & Maple Oatmeal
  • Hash Browns
  • French Fries
  • Side Salad
  • McCafe Coffee
  • Minute Maid Premium Orange Juice
  • Dansani Water
  • Scrambled Egg
  • Canadian Bacon
  • Sausage
  • Bacon

Things I cannot have at McDonalds:

  • Buns – gulten
  • Big Mac Sauce – high fructose corn syrup
  • Wraps – gluten
  • Biscuits – gluten
  • Bagel – gluten
  • McGriddle – gluten
  • McMuffin – gluten
  • Cinnamon Melt – gluten

Can you think of anything I’ve missed? Comment below.

Introducing the FODMAP diet

Low-FODMAP foods Amy can eat

Low-FODMAP foods can eat (Photo credit: gumption)

I have been living with a problem for the last 12 years or longer. I have Irritable Bowel syndrome. I got the diagnosis in 2004 after my first colonoscopy (and in my first year as a nurse). The best treatment at the time was fiber. I either had to eat a high fiber diet or take additional supplements. Matters improved somewhat, but I still had episodes of the constipation and diarrhea cycle. I was getting worse in January of 2013 so I saw a gastroenterologist for another scope. Had a polyp removed that time, but nothing new. Most physicians who have been around a while assume that I know as much as they do (granted we have to shoot them down frequently as residents because at that point we do), but I don’t always keep up on the latest with specialties that don’t usually see the ICU. My family practice doc just usually spouts off the current screening recommendations for me and lets me decide what gets ordered or ignored. So food intolerance that does not progress to anaphylaxis is usually off my radar.

For some reason, I started searching for information on IBS treatment last week. I was wondering if I had lactose intolerance. Then I discovered fructose malabsorption. This sounded more like when I would have my IBS flair ups.

I came across some information out of Australia for IBS treatment with diet adjustments. It is called the low FODMAP diet. It was developed at Monash University in Melbourne, Australia in 2005. FODMAP stands for Fermentable Oligo-Di-Monosaccharides and Polyols. Now I have a Bachelor’s degree in chemistry and I barely can pronounce the name. Not only that but I currently work in a teaching hospital with a medical school attached and I cannot find any patient education sheets on this diet.

Fermentable = the process which gut bacteria degrade undigested carbohydrate to produce gases (hydrogen, methane & carbon dioxide)
Oligo-saccharides = Fructo-oligosaccharides of wheat, rye, garlic and onions. Galacto-oligosaccharides of beans and legumes.
Di-saccharides = Lactose found in milk, soft cheese and yogurt
Mono-saccharides = Fructose (in excess of glucose) found in honey, apples and high fructose corn syrup
Polyols = Sugar polyols (e.g. Sorbitol, mannitol) found in some fruit and vegetables and used as artificial sweeteners

When I was in New Hampshire this winter, a coworker had gluten intolerance so I decided to try reducing my gluten intake. It sort of worked. But I moved and did not keep it up. I had also done better in Vermont. What I think happened there was I was eating a lot of fresh farm produce and fewer high fructose foods. I thought Vermont should have “Peace, Love & eat local organic food” for their motto. I think I was getting pieces of the FODMAP diet without realizing it, but the lack of full knowledge prevented me from putting things together.

So now that I have discovered the diet, I might cover a bit of the challenge of adjusting my diet and discovering what I can and cannot tolerate.

2014 My favorite iPhone apps

Waze kaart scherm

Waze kaart scherm (Photo credit: Henk-Jan van der Klis)

1. Audible

I need things to keep my brain active and off the subject of my life.

2. Pushover

This goes mostly with IFTTT. I can set up alerts such as the Full Moon. When I get an email that is “Important” according to Gmail (be sure to teach Gmail what isn’t important).

3. iOS apps Mail/Messages/Calendar/Reminders/Safari

I nearly live in these basic iOS apps.

Mail I have set up to sync with Gmail.

Calendar syncs with Google Calendar and the calendar on my Laptop.

Same with Reminders though I do have IFTTT set up to sync it with Remember the Milk.

4. Twitter

This is my communication method lots of time. I keep up with more friends here than I do Facebook.

5. Foursquare

If I ever go missing the cops can easily find where the last place I was.

6. IFTTT

I hate repetitive tasks, but I LOVE to keep archives. This does that and automates a few things for me.

7. Starbucks

I had been using this app quite a bit. I was addicted to my Carmel Apple Spice even though it doesn’t agree with my stomach. Apples have given me problems for years.

8. Mobile Banking app

This is how I usally check my bank account. I actually interact with my bank more this way than any other way.

9. Google+

I’m using this more than any other social site for promoting my iBooks.

11. Timehop

I like this app for seeing what was going on in my life on this day for previous years.

12. Waze

I travel a lot and don’t know where I’m going. So I find out what’s nearby by using the search embeded in Waze. Plus they know traffic because of the real time traffic updates from other users in the area.

13. Kindle

I love to read. However, moving with a large library every 3 to 6 months is prohibitive. So I have a Kindle, a Kindle app on my phone and a Kindle app on my iPad. I have my whole library down to about 3 lbs. A lot easier to pack up and move.

Daily Journal: What I’ve been up to

I haven’t posted in quite a while. What I’ve been up to lately:

  • Playing Diablo 3
  • Still raiding in World of Warcraft
  • Putting together outfits in the Covet Fashion app (hey it’s paper dolls to go)
  • Playing with my new Pebble Watch
  • Working
  • I’ve also published a few books on the iBooks store. They are game guides.

What I’d like to do:

Ten Reasons Why Lawrence County’s History is Cooler Than Other Places’ History | The Lawrence County Historical Review

9.  The only F5 tornado in Tennessee history ripped through western Lawrence County.

Although this certainly wasn’t ‘cool’ to those who experienced it, it is still a remarkable part of our county’s history. On April 16, 1998, a large tornado touched down in Wayne County, Tennessee. It gained strength as it traveled northeast, and the damage it caused by the time it reached Deerfield in western Lawrence County was on such a massive scale that the National Weather Service later declared it to be an F5 on the original Fujita scale. This was the only tornado in Tennessee’s history to be considered an F5 using that particular means of measurement (meteorologists swapped to the enhanced Fujita scale, or EF scale, since 2007). However, because news coverage of smaller tornados in downtown Nashville overshadowed coverage of the Lawrence County event, meteorologists have dubbed it ‘The Forgotten F5.’[2]

via Ten Reasons Why Lawrence County’s History is Cooler Than Other Places’ History | The Lawrence County Historical Review.